| No. | Nama | Paraf |
|---|---|---|
| 1 | WIDODO | |
| 2 | AHMAD SAUMANTORO | |
| 3 | MULYONO | |
| 4 | AZANI | |
| 5 | IBHAM SAHIDIN | |
| 6 | KABUL WAHYUNI | |
| 7 | RUMADI | |
| 8 | TUKIYONO | |
| 9 | BENYAMIN | |
| 10 | MARYONO | |
| 11 | SABAN | |
| 12 | PAWIT | |
| 13 | SUBEDOT | |
| 14 | PANUDI | |
| 15 | SUGIYONO | |
| 16 | SINDIK | |
| 17 | TAMAMIN | |
| 18 | SUYOTO | |
| 19 | TUKIMIN | |
| 20 | ROHMAT | |
| 21 | SUMARDI | |
| 22 | SAMIJAN | |
| 23 | SUPARI | |
| 24 | MISRAN | |
| 25 | RAMIJAN | |
| 26 | SARIMAN | |
| 27 | KAMIDI | |
| 28 | DUWI WITOPO | |
| 29 | IIN | |
| 30 | WIYOTO | |
| 31 | SURURI | |
| 32 | ROHANI | |
| 33 | MULYADI | |
| 34 | NUR KHOLIS | |
| 35 | MUJARIYAH | |
| 36 | MUJIONO | |
| 37 | NARDI | |
| 38 | WAGIMAN |